Table 1

Common causes of adult hip pain

CONDITIONCOMMON COMPLAINTS AND CLINICAL FEATURESPHYSICAL FIND INGS
Groin strainSudden onset groin pain, often following a specific event that can be recalledGroin pain on active or passive abduction or extension
OsteoarthritisInsidious onset of groin pain (less commonly buttock pain); worse with activity; occasionally, pain at nightMore common in advanced stages; decreased range of motion (especially internal rotation); antalgic or gluteus medius gait; leg length discrepancy
Trochanteric bursitisLateral hip pain; worse with activity; difficulty lying on affected sideTenderness on palpation of greater trochanter; lateral pain with resisted adduction